Individual provider · Type 1 NPI
Beatrice Denise Jackson
Adult Care Home Facility · Radcliff, KY
NPI number
1780592113
Active
Practice location
120 N Forrest Rd
Radcliff, KY 40160-2659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1780592113
Beatrice Denise Jackson's National Provider Identifier is 1780592113, issued on Aug 28, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Radcliff, KY. The record was last updated on Aug 28, 2026.